Pediatric Emergency Nursing Quiz #6

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Louise

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Questions: 5 | Attempts: 1,116 | Updated: Mar 22, 2023

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Pediatric Emergency Nursing Quiz #6 - Quiz

To help you continue some study questions for the CPEN exam.

Questions and Answers

1.

Which of the following organisms is responsible for the development of Rheumatic fever?
- A.
  
  Streptococcal pneumonia
- B.
  
  Haemophilus influenza
- C.
  
  Group A β-hemolytic streptococcus
- D.
  
  Staphylococcus aureus
Correct Answer
C. Group A β-hemolytic streptococcus

Explanation
Group A β-hemolytic streptococcus can cause strep throat, and if untreated, can cause Scarlet fever, which in turn can lead to Rheumatic fever. Rheumatic fever is an inflammatory condition that can affect the heart, joints, skin and brain. It usually occurs 2-4 weeks after the diagnosis of strep throat, impetigo or scarlet fever. It can thicken the heart valves and lead to heart failure, while in the joints causes pain and swelling.

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2.

Sunshine, age 13, has had a lumbar puncture to examine the CSF to determine if bacterial infection exists. The best position to keep her in after the procedure is:
- A.
  
  Prone for two hours to prevent aspiration, should she vomit.
- B.
  
  Semi-flowler's so she can watch TV for 4 hours and be entertained.
- C.
  
  Supine for several hours to prevent headache.
- D.
  
  On her right side to encourage return of CSF.
Correct Answer
C. Supine for several hours to prevent headache.

Explanation
Lying flat keeps the patient from having a “spinal headache.” Increasing the fluid intake will assist in replenishing the lost fluid during this time.

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1
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3.

The adolescent patient has symptoms of meningitis: nuchal rigidity, fever, vomiting, and lethargy. The nurse knows to prepare for the following test:
- A.
  
  Blood Culture
- B.
  
  Throat and Ear culture
- C.
  
  CAT scan
- D.
  
  Lumbar puncture
Correct Answer
D. Lumbar puncture

Explanation
Meningitis is an infection of the meninges, the outer membrane of the brain. Since it is surrounded by cerebrospinal fluid, a lumbar puncture will help to identify the organism involved.

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1
4.

A child is diagnosed with Wilms’ tumor. During assessment, the nurse expects to detect:
- A.
  
  Gross hematuria
- B.
  
  Dysuria
- C.
  
  Nausea and Vomiting
- D.
  
  An abdominal mass
Correct Answer
D. An abdominal mass

Explanation
The most common sign of Wilms’ tumor is a painless, palpable abdominal mass, sometimes accompanied by an increase in abdominal girth. Gross hematuria is uncommon, although microscopic hematuria may be present. Dysuria is not associated with Wilms’ tumor. Nausea and vomiting are rare in children with Wilms’ tumor.

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5.

When administering an I.M. injection to an infant, the nurse should use which site?
- A.
  
  Deltoid
- B.
  
  Dorsogluteal
- C.
  
  Ventrogluteal
- D.
  
  Vastus lateralis
Correct Answer
D. Vastus lateralis

Explanation
The recommended injection site for an infant is the vastus lateralis or rectus femoris muscles. The deltoid is inappropriate. The dorsogluteal and ventrogluteal sites can be used only in toddlers who have been walking for about 1 year.

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Current Version
Mar 22, 2023

Quiz Edited by
ProProfs Editorial Team
May 05, 2017

Quiz Created by
Louise

Pediatric Emergency Nursing Quiz #6

Which of the following organisms is responsible for the development of Rheumatic fever?

Sunshine, age 13, has had a lumbar puncture to examine the CSF to determine if bacterial infection exists. The best position to keep her in after the procedure is:

The adolescent patient has symptoms of meningitis: nuchal rigidity, fever, vomiting, and lethargy. The nurse knows to prepare for the following test:

A child is diagnosed with Wilms’ tumor. During assessment, the nurse expects to detect:

When administering an I.M. injection to an infant, the nurse should use which site?